Baptism Application Form

Contact info: (503) 656-9144 | info@oregonarmenianchurch.com
Baptism Application

Application for Baptism at St. Kevork Armenian Church
Name of Baptized *

First Name Last Name
DOB *

Month Day Year
Date
Place of Birth *
Place of Baptism *

St. Kevork Armenian Apostolic Church of Oregon Other
Date of Baptism *

Month Day Year
Date
Hour Minutes AM/PM Option
Father *

First Name Last Name
Mother *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Godfather *

First Name Last Name
Officiating Clergy
Language of Service *

Armenian English
Contact Information
Requested by *

First Name Last Name
Relationship to baptized *
E-mail *
example@example.com
Phone *
SUGGESTED DONATION: $300

It is customary to acknowledge the officiating priest and assisting deacon separately.
Donation *

Pay Online (see below) In Person

Baptism Service Donation

$ 300.00

Hall Rental Includes cleaning fee

$ 300.00

Additional Donation

$ 25.00 Quantity

Total

$ 0.00

Baptism Application